A hospitalized client diagnosed with depression asks a nurse, ...

[asmith134]

A hospitalized client diagnosed with depression asks a nurse, Should I go home this weekend? Which response by the nurse uses the technique of reflection?
 
  A) Should you go home for the weekend?
  B) Home means what to you?
  C) It sounds as if you don't want to go home this weekend.
  D) I doubt that you really should go home this weekend.

Question 2

When engaged in therapeutic communication with a client who has a mental disorder, which of the following is the most important for a nurse to keep in mind?
 
  A) The nurse should self-disclose when indicated.
  B) The client is the primary focus of the interaction.
  C) The nurse should have an empathetic relationship with the client.
  D) The client's conversations should be recorded.

[mjenn52]

Answer to Question 1

Ans: A
Reflection is used when a client wants a nurse's approval or judgment. The statement by the nurse that uses reflection is, Should you go home for the weekend? This allows the client the opportunity to discuss the matter further. The question, Home means what to you? seeks clarification. The statement, It sounds as if you don't want to go home this weekend reflects the technique of interpretation. The statement, I doubt that you really should go home offers the nurse's opinion and is judgmental.

Answer to Question 2

Ans: B
A fundamental principle of therapeutic communication is that the client must be the focus of the interaction. Self-disclosure should be avoided. Empathy is important and develops over time as the nurse receives information from the client with open, nonjudgmental acceptance. The nurse communicates this understanding of the experience so that the client feels understood. Conversations with clients should be kept confidential.

[asmith134]

Thanks for the timely response, appreciate it

[alvinum]

TYSM